Derek Tesoro, DPM
Podiatrist · Saginaw, MINPI 1891873022
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.2% of the total across 87 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 16.3% — the pattern of someone who eats at a lot of different presentations.
Across 87 payments — averaging $60.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$850
- Stryker$786
- Paragon 28, Inc.$740
- Kerecis Limited$529
- Johnson & Johnson$449
- Amgen$299
- plus $2K from 17 others
What the payments were for
- Speaking & faculty fees$932%
- Food & beverage$5,13998%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Smith+Nephew | 22 | $850 |
| Stryker(2 entities) | 15 | $786 |
| Paragon 28, Inc. | 14 | $740 |
| Kerecis Limited | 4 | $529 |
| Johnson & Johnson(2 entities) | 5 | $449 |
| Amgen(2 entities) | 4 | $299 |
| Bioventus LLC | 2 | $157 |
| Mimedx Group, Inc. | 1 | $143 |
| Treace Medical Concepts, Inc. | 3 | $136 |
| Biopro, Inc. | 3 | $133 |
| Linvatec Corporation | 2 | $128 |
| Urgo Medical North America, LLC | 1 | $113 |
| Zimmer Biomet | 1 | $111 |
| Misonix Inc | 1 | $96 |
| Organogenesis Inc. | 1 | $93 |
| Solventum Corporation | 1 | $90 |
| Anika Therapeutics, Inc. | 1 | $74 |
| Heron Therapeutics, Inc. | 1 | $62 |
| Crossroads Extremity Systems, LLC | 1 | $55 |
| Medline Industries LP | 1 | $53 |
| Medwest Associates | 1 | $49 |
| Innovation Technologies Inc | 1 | $44 |
| In2bones USA, LLC | 1 | $42 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Kerecis Omega3 Marigen$1,117
- Kerecis Omega3 SurgiClose$1,037
- Stravix$395
- Kerecis Omega3 GraftGuide$383
- Portfolio$224
- N/A$138
- MOTOBAND$118
- ALPHAVENT$116
- ICONIX$116
- Grafix$115
- GRAFIX PL$115
- VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP$113
- Alps Foot$111
- Nextremity InCore$111
- Stratum Foot Plating System$111
- Juggerloc$111
- PROPHECY$111
- Exogen Ultrasound Bone Healing System$109
- TTC NAIL$109
How this compares
$5,232 in reported general payments places this provider in the 80th percentile of 302 podiatrist providers in Michigan.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 34 | $1,906 |
| Terbinafine Hcl | 31 | $234 |
| Cephalexin | 33 | $150 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $82 |
| Doxycycline Hyclate | 12 | $60 |
| Meloxicam | 14 | $29 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Saginaw
- Andrew CohenSaginaw$9K
- Carlyn HinishSaginaw$6K
- Ryan WoldahlSaginaw$5K
- Fadi JaafarAlma$191K
- Jeffrey KleinLivonia$117K
- Gary RothenbergAnn Arbor$85K
- Randy SemmaCommerce Twp$31K
- Alton JohnsonAnn Arbor$21K
- Krista KotzevaSouthfield$20K
- Darryl MartinsJackson$19K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.